| |
118 E Paterson St Safehouse Kalamazoo MI 49007-2531 | |
(269) 342-7348 | |
(269) 342-4699 |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 118 E Paterson St, Kalamazoo, Michigan |
Authorized Official Name and Position | Robert E. Bonds (PRESIDENT/CEO) |
Authorized Official Contact | 2693427348 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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32 W Van Buren St Battle Creek MI 49017-3046 Ph: (269) 964-3830 | 118 E Paterson St Safehouse Kalamazoo MI 49007-2531 Ph: (269) 342-7348 |
NPI Number | 1144308347 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 08/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144308347 | NPI | - | NPPES |
1705289 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 390139 (Michigan) | Primary |
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